Study of Embeda (Kadian NT, ALO-01) in Subjects With Chronic Moderate to Severe Nonmalignant Pain
A Long-Term, Open-Label Safety Study of ALO-01 (Morphine Sulfate Plus Naltrexone Hydrochloride Extended-Release) Capsules in Subjects With Chronic Moderate to Severe Nonmalignant Pain
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Alabama
-
Birmingham, Alabama, United States, 35244
- Michael Gibson, MD
-
-
Arizona
-
Phoenix, Arizona, United States, 85027
- Steven Siwek, MD
-
Phoenix, Arizona, United States, 85032
- Michael Loes, MD
-
Tempe, Arizona, United States, 85282
- Allan Soo, MD
-
Tucson, Arizona, United States, 85741
- Leah Schmidt, DO
-
-
California
-
Anaheim, California, United States, 92801
- Steve Sitar, MD
-
Anaheim, California, United States, 92804
- Robert Burton, MD
-
Bakersfield, California, United States, 93311
- Arturo Palencia, MD
-
Beverly Hills, California, United States, 90211
- Adam Karnes, MD
-
Fair Oaks, California, United States, 95628
- Douglas Haselwood, MD
-
-
Florida
-
Delray Beach, Florida, United States, 33484
- Steven Croft, MD
-
Hialeah, Florida, United States, 33013
- Roberto Rodriquez, MD
-
Jacksonville, Florida, United States, 32257
- Orlando Florete, MD
-
Kissimmee, Florida, United States, 34741
- Michael Link, MD
-
Largo, Florida, United States, 33770
- Miguel Trevino, MD
-
Ormond Beach, Florida, United States, 32174
- Diego Torres II, MD
-
Plantation, Florida, United States, 33324
- Martin Hale, MD
-
St. Petersburg, Florida, United States, 33702
- Margarita Nunez, MD
-
Tampa, Florida, United States, 33613
- Mary Stedman, MD
-
-
Georgia
-
Blue Ridge, Georgia, United States, 30513
- Raymond Tidman, MD
-
Marietta, Georgia, United States, 30060
- Arnold Weil
-
Marietta, Georgia, United States, 30066
- Marvin Tark
-
-
Illinois
-
Chicago, Illinois, United States, 60616
- Azazuddin Ahmed, MD
-
Peoria, Illinois, United States, 61614
- Jenecsis Castro-Skoglund, MD
-
-
Indiana
-
Evansville, Indiana, United States, 47714
- Steven Elliott, MD
-
-
Iowa
-
West Des Moines, Iowa, United States, 50265
- John Peppin, DO
-
-
Louisiana
-
Shreveport, Louisiana, United States, 71103
- Randall Brewer, MD
-
-
Massachusetts
-
North Dartmouth, Massachusetts, United States, 02747
- David Miller, MD
-
Springfield, Massachusetts, United States, 01103
- Adnan Dahdul, MD
-
-
Michigan
-
Saginaw, Michigan, United States, 48602
- Rebecca Baumbach, MD
-
-
Missouri
-
Florissant, Missouri, United States, 63031
- Mel Lucas, MD
-
St. Louis, Missouri, United States, 63141
- Anthony Margherita, MD
-
-
Montana
-
Missoula, Montana, United States, 59802
- Randale Sechrest, MD
-
-
Nebraska
-
Omaha, Nebraska, United States, 68134
- John Jacobson, MD
-
-
Nevada
-
Henderson, Nevada, United States, 89014
- James Meli, DO
-
Las Vegas, Nevada, United States, 89106
- Stephen Miller, MD
-
Las Vegas, Nevada, United States, 89123
- Vrijendra Kumar, MD
-
-
New Jersey
-
Voorhees, New Jersey, United States, 08043
- Christopher Colopinto, MD
-
-
New Mexico
-
Albuquerque, New Mexico, United States, 87108
- Barbara McGuire, MD
-
-
New York
-
Mount Vernon, New York, United States, 10550
- Arthur Elkind, MD
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28210
- Patrick Box, MD
-
Winston-Salem, North Carolina, United States, 27103
- Richard Rauck, MD
-
Winston-Salem, North Carolina, United States, 27103
- Thomas Littlejohn III, MD
-
-
Ohio
-
Cincinatti, Ohio, United States, 45242
- Gregory Gottschlich, MD
-
Cincinnati, Ohio, United States, 45227
- Bruce Corser, MD
-
Toledo, Ohio, United States, 43623
- Robert Kalb, MD
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73116
- Tanna Shaw, MD
-
-
Oregon
-
Eugene, Oregon, United States, 97401
- Joseph Dunn, MD
-
-
Pennsylvania
-
Tipton, Pennsylvania, United States, 16684
- Lawrence Levinson, MD
-
-
South Carolina
-
Greer, South Carolina, United States, 29651
- William Travis Ellison, MD
-
-
Tennessee
-
Knoxville, Tennessee, United States, 37920
- William Smith, MD
-
Milan, Tennessee, United States, 38358
- Lee Carter, MD
-
-
Texas
-
Austin, Texas, United States, 78705
- Walter Chase, MD
-
Richardson, Texas, United States, 75080
- Andrew Klymiuk, MD
-
San Antonio, Texas, United States, 78217
- Francis Burch, MD
-
San Antonio, Texas, United States, 78229
- Suzanne Gazda, MD
-
-
Utah
-
Salt Lake City, Utah, United States, 84106
- Webster Lynn, MD
-
-
Virginia
-
Roanoke, Virginia, United States, 24018
- Richard Eckert, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject 18-70 years of age
- Subject agrees to refrain from taking any opioid medications other than study medication during study period.
- History of chronic moderate to severe pain caused by a nonmalignant condition for at least 3 months prior to baseline
Exclusion Criteria:
- Subject has a documented history of allergic reaction or clinically significant intolerance to morphine or other opioids, such that treatment with morphine is contraindicated.
- Subject is pregnant or breast-feeding.
- Subject is receiving chemotherapy, or has an active malignancy of any type or has been diagnosed with cancer within the past three years (excluding squamous or basal cell carcinoma of the skin).
- Subject has a documented history of drug abuse/dependence/misuse or narcotic analgesic abuse/dependence/misuse within five years prior to the Baseline Visit.
- Subject has a Body Mass Index (BMI)>45kg/m2.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ALO-01
Doses given once or twice daily
|
capsules, available dosage strengths 20, 30, 40, 50, 60, 80, and 100 mg morphine sulfate with 4% by weight naltrexone hydrochloride given once or twice daily
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Subjects With Treatment Emergent Adverse Events
Time Frame: up to 12 months
|
Number of subjects with adverse events (any unfavorable and unintended sign, symptom, or disease temporally associated with the use of the product whether or not related to the product).
|
up to 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean Percent Change From Baseline to 12 Weeks in Brief Pain Inventory Score (BPI) of Average Pain
Time Frame: 12 weeks
|
Percent change in pain intensity scale.
Average pain intensity over last 24 hours rated at each visit from 0=no pain to 10=worst pain.
|
12 weeks
|
|
Mean Percent Change From Baseline to 52 Weeks in Brief Pain Inventory Score (BPI) of Average Pain
Time Frame: 52 weeks
|
Percent change in pain intensity scale.
Average pain intensity over last 24 hours rated at each visit from 0=no pain to 10=worst pain.
|
52 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: James B. Jones, MD, PharmD, Alpharma Pharmaceuticals
Publications and helpful links
General Publications
- Setnik B, Pixton GC, Webster LR. Safety profile of extended-release morphine sulfate with sequestered naltrexone hydrochloride in older patients: pooled analysis of three clinical trials. Curr Med Res Opin. 2016;32(3):563-72. doi: 10.1185/03007995.2015.1131153. Epub 2016 Jan 26.
- Webster LR, Brewer R, Morris D, Cleveland JM, Setnik B. Opioid titration and conversion in patients receiving morphine sulfate and naltrexone hydrochloride extended release capsules. Postgrad Med. 2011 Sep;123(5):155-64. doi: 10.3810/pgm.2011.09.2471.
- Webster LR, Brewer R, Wang C, Sekora D, Johnson FK, Morris D, Stauffer J. Long-term safety and efficacy of morphine sulfate and naltrexone hydrochloride extended release capsules, a novel formulation containing morphine and sequestered naltrexone, in patients with chronic, moderate to severe pain. J Pain Symptom Manage. 2010 Nov;40(5):734-46. doi: 10.1016/j.jpainsymman.2010.05.004.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ALO-KNT-302
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.